All Medicaid billing entities listing FULLENWIDER, JOHN (SOLE PROPRIETOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Mississippi | 1 | $837K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | GOLDEN TRIANGLE PATHOLOGY | COLUMBUS, MS | Anatomic Pathology & Clinical Pathology Physician | $837K |